Organization
GRACEFUL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN FISH LMFT (OWNER & THERAPIST)
(630) 733-9108
Entity
Organization
Contact information
Practice address
113 MAIN ST STE 203, OSWEGO, IL 60543-8593
(630) 733-9108
(630) 912-4242
Mailing address
113 MAIN ST STE 203, OSWEGO, IL 60543-8593
(630) 733-9108
(630) 912-4242
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
166.001164
IL
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
07/30/2018
Last updated
07/21/2022
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